Kenneth R,. Russell, D.d.s. Pa is a Dental Clinic in Winston Salem, North Carolina. It is located at 1480 Rymco Dr Ste B, Winston Salem, NC and its contact number is 336-768-7940. The authorized person for Kenneth R,. Russell, D.d.s. Pa is Dr. Kenneth Ray Russell
who is President of the clinic and their contact number is 336-768-7940. The primary license number for Kenneth R,. Russell, D.d.s. Pa is 5843 (General Practice) in North Carolina. Kenneth R,. Russell, D.d.s. Pa Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Kenneth R,. Russell, D.d.s. Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Kenneth R,. Russell, D.d.s. Pa
Specialization:
General Practice Dentistry
Clinic Address:
1480 Rymco Dr Ste B, Winston Salem, North Carolina, 27103-2944
Phone:
336-768-7940
Fax:
336-768-5985
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Kenneth Ray Russell
Position:
President
Contact Number:
336-768-7940
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Kenneth R,. Russell, D.d.s. Pa clinic are as mentioned below.
NPI Number:
1902081094
NPI Enumeration Date:
08 Jan, 2008
NPI Last Update On:
08 Jan, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kenneth R,. Russell, D.d.s. Pa are as mentioned below.
Specialization
License Number
State
Status
General Practice
5843
North Carolina
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
890195B
Medicaid
North Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Kenneth R,. Russell, D.d.s. Pa 1480 Rymco Dr Ste B, Winston Salem, North Carolina
Zip:
27103-2944
Phone Number:
336-768-7940
Fax Number:
336-768-5985
Patients can reach Kenneth R,. Russell, D.d.s. Pa at 1480 Rymco Dr Ste B, Winston Salem, North Carolina or can call to book an appointment on 336-768-7940. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.